OBJECTIVES: In an effort to maintain the technical aspects of traditional prosthetic surgical aortic valve replacement (AVR) while reducing invasiveness and facilitate options for concomitant operations, transaxillary lateral mini-thoracotomy endoscopic robotic-assisted aortic valve replacement (RAVR) has been introduced. The present data highlight the contemporary international collaborative experience. METHODS: All consecutive patients undergoing standardized RAVR across 10 international sites (1/2020-7/2024) were evaluated using a central database with 1 year follow-up. RESULTS: A total of 300 patients were analysed with a median predicted risk of 1.6% with aortic stenosis in 85.7%, nearly half with bicuspid valves. Biological prostheses were implanted in 220 (73.3%) with a median valve size 23 mm, 10% receiving aortic root enlargement, with 17% of all patients undergoing concomitant procedures. Median cross-clamp 120 min with no conversions to sternotomy. Median length of stay was 5 days, 4.3% with prolonged ventilation, 1.7% renal failure, 1.0% stroke and 8.3% required re-thoracotomy for evacuation of haemothorax. There were two 30-day operative mortalities (0.7%). The new permanent pacemaker rate for the full cohort was 2.6%. Of 163 patients with complete 1-year clinical and echocardiographic follow-up, mean aortic valve gradient was 10 mmHg and all but 2 patients (1.2%) had trace to no prosthetic or paravalvular insufficiency. CONCLUSIONS: RAVR is safe and effective, providing the reproducible benefits of surgical AVR while affording a less invasive approach that permits the opportunity for concomitant procedures. For low and intermediate risk patients with aortic valve disease, RAVR is a potential reproducible alternative for patients and heart teams.

• MeSH
• Aortic Valve * surgery   MeSH
• Aortic Valve Stenosis * surgery   MeSH
• Heart Valve Prosthesis Implantation * methods   adverse effects   mortality   MeSH
• Middle Aged MeSH
• Humans MeSH
• Longitudinal Studies MeSH
• Follow-Up Studies MeSH
• Robotic Surgical Procedures * methods   adverse effects   mortality   statistics & numerical data   MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Heart Valve Prosthesis MeSH
• Thoracotomy methods   MeSH
• Treatment Outcome MeSH
• Check Tag
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Aged, 80 and over MeSH
• Aged MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Multicenter Study MeSH

• MeSH
• Aortic Valve diagnostic imaging   surgery   MeSH
• Heart Valve Prosthesis Implantation * adverse effects   MeSH
• Humans MeSH
• Multicenter Studies as Topic MeSH
• Robotic Surgical Procedures * MeSH
• Heart Valve Prosthesis * MeSH
• Transcatheter Aortic Valve Replacement * MeSH
• Treatment Outcome MeSH
• Check Tag
• Humans MeSH
• Publication type
• Editorial MeSH

• MeSH
• Cardiac Surgical Procedures * MeSH
• Cardiovascular Diseases MeSH
• Publication type
• Atlas MeSH

• Conspectus
• Ortopedie. Chirurgie. Oftalmologie
• NML Fields
• kardiochirurgie

• MeSH
• Thoracic Surgical Procedures MeSH
• Thoracic Surgery MeSH

• Conspectus
• Ortopedie. Chirurgie. Oftalmologie
• NML Fields
• chirurgie
• vnitřní lékařství
• NML Publication type
• kolektivní monografie